– See – Cubitbal Tunnel Syndrome – Differential Dx: Ulnar Nerve Dysfunction: – Martin Gruber Anastomosis – Ulnar Nerve Blocks: – Ulnar Nerve in Condylar Fractures: – Anatomy: – brachial plexus: – C8 and T1 nerve roots give rise to the medial cord which in turn, forms the ulnar nerve; – ulnar nerve passes distally, … Read more
– Orthopaedic Infection Menu – bacterial menu – infectious tenosynovitis – diabetic foot infections – hand infections – THR infections – TKR Infections – septic arthritis – necrotizing soft tissue infections: – osteomyelitis (Cierney Classification) – spinal infection / osteomyelitis … Read more
– See: Tibial Plateau Frx Menu, Local Compression Frx – Discussion: – involves central or peripheral depression of frx of lateral plateau w/o associated lateral wedge fracture; – it usually occurs from minimal impact on weak osteoporotic bone; – commonly affects older age groups (55-60 yrs) w/ marked osteoporosis; … Read more
– Bone Tumors – Biopsy – European Cancer Institute – Soft Tissue Sarcomas – Metastatic Tumors – MRI – Stage Classification Tissue type: – Osseous – Myositis ossificans – Extraosseous osteosarcoma – Carilaginous: – Chondroma – Extraosseous chondrosarcoma – Synovial Chondromatosis – Fibrous: – Fibroma – Fibrosarcoma – Desmoplastic Fibroma – … Read more
Discussion although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; periarticular bone lesions may accompany the synovial involvement; pulmonary tuberculosis is evident in only half the patients with skeletal involvement; pulmonary TB signs vary with stage of dz, few early on; later high fever, wt loss, prolonged, productive … Read more
– DIP Joint Immobilization: – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb; – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions; – technique: consider applying two layers of … Read more
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more
– See: – Ligaments of the Wrist and RU Joint – Discussion: – is ulnar continuation of distal radius & presents concave surface for articulation w/ lunate & triquetrium; – ular side of the wrist is supported by the TFCC, which articulates w/ both the lunate and the triquetrum; – TFCC is prone to injury due … Read more
– Discussion: – relatively short lived acute inflammatory process; – usually seen in boys aged 2 to 10 years; – frequently follows an upper respiratory tract infection; – most common cause of painful hips in childhood; – is a diagnosis of exclusion; – … Read more
– Transverse Retinacular Ligaments: – anatomy: – origin: edge of flexor tendon sheath at PIP; – insetion: lateral edges of conjoined lateral bands – function: – prevents excessive dorsal shift of the lateral bands when the PIP extends; … Read more